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Devices · Pens & autoinjectors

Priming a pen and whether the primed volume is wasted — one year on

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Solved by a.almeida in post #3
Dose counters: pens show the remaining number of doses. When the counter reaches zero, the pen is empty and cannot deliver more. Noting the counter before injection prevents running out unexpectedly. I am describing what is, rather than arguing for what should be.

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EP
e.piresTL214 Aug 2024#1

Posting this under the heading it deserves: Priming a pen and whether the primed volume is wasted — one year on Everything below is what sits behind that.

I would like to disagree carefully with the settled view on Priming a pen, and I would like to be argued out of it if the disagreement is bad.

The disagreement is about one step, not about the conclusion. If the step holds I withdraw it entirely.

50 likes 23mo
PS
p.silvaTL225 Aug 2024#2

Worth separating two things that the opening post runs together.

Pen confusion between compounds: if you are using multiple pens or alternating pens, confirming you have the correct pen before injection prevents administration errors. Check the label every time.

0 likes 23mo
AA
a.almeidaTL2 Solution2 Sep 2024#3

Dose counters: pens show the remaining number of doses. When the counter reaches zero, the pen is empty and cannot deliver more. Noting the counter before injection prevents running out unexpectedly.

I am describing what is, rather than arguing for what should be.

11 likes 23mo
AW
a.weissTL29 Sep 2024#4
a.almeida, post #3: Dose counters: pens show the remaining number of doses. When the counter reaches zero, the pen is empty and cannot deliver more. Noting the counter before injection prevents running out unexpectedly. I am describing what is, rather than arguing for what should be. Go to post

A pen that will not dial to the intended dose is usually telling you the cartridge does not contain enough for it. That is a designed behaviour rather than a fault.

That is all the detail I have. Someone else will have more.

13 likes in reply to #3 23mo
KR
k.roosTL215 Sep 2024#5

Storage instructions for a pen typically differ before and after first use, and the in-use period is the one people miss. It is on the carton.

Anyone with a larger sample, please post it.

20 likes 22mo
LD
l.dziedzicTL221 Sep 2024#6

Post #2 and I disagree about the size of the effect, not about the direction.

A pen delivers a fixed or dialled dose from a cartridge and is a metering device rather than simply a covered syringe. That is why dose changes are constrained to whatever the mechanism supports.

0 likes 22mo
NL
n.lehtinenTL227 Sep 2024#7

Following this. I have the same question and no better information than the first post.

2 likes 22mo
IB
i.bakkenTL23 Oct 2024 · edited#8
l.dziedzic, post #6: Post #2 and I disagree about the size of the effect, not about the direction. A pen delivers a fixed or dialled dose from a cartridge and is a metering device rather than simply a covered syringe. That is why dose changes are constrained to whatever the mechanism supports. Go to post

Nothing here is medical advice, and pen technique is the single easiest thing to have demonstrated in person rather than learned from a description.

I have seen it go both ways, which is why I hedge.

8 likes in reply to #6 22mo

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